Premium
HYPERTENSION ASSOCIATED WITH UNILATERAL RENAL DISEASE IN CHILDHOOD
Author(s) -
B. HAYCOCK GEORGE
Publication year - 1975
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1975.tb03838.x
Subject(s) - medicine , nephrectomy , disease , pediatrics , cure rate , kidney disease , surgery , kidney
Haycock, G. B. (Royal Hospital for Sick Children, Bristol, England). Hypertension associated with unilateral renal disease in childhood: report of two cases and review of the literature. Acta Paediatr Scand 64:299, 1975.–Two girls are described, aged 7 and 10 years respectively, who presented with arterial hypertension associated with unilateral kidney disease. Both were cured by nephrectomy, according to criteria for cure which are described in the paper. Only 45 similar cases could be found in the literature; these results are summarised and compared with those obtained in adult patients. The cure rate in children was 76 %; similar large series including patients of all ages, but consisting predominantly of adults, show cure rates of only about 25%. It is inferred that the age of the patient is an important factor in determining prognosis, and should be considered in the selection of patients for nephrectomy. Methods of investigation of these patients, and possible mechanisms concerned in the pathogenesis of the hypertension, are briefly discussed.